That being the Pylarify PSMA PET scan, and that result being negative, how are they confident that recurrence is in the prostate bed and not elsewhere? In Dr. Kwon’s presentation about recurrence, he indicates that following prostatectomy, only 33% of the time is recurrence only where the prostate was and that you should be absolutely certain before doing salvage radiation there.

Since nothing is showing with your PSMA PET scan (and you don’t want them blindly hitting you with radiation), ask if they can use an earlier type of PET scan that doesn’t rely on PSMA expression to find the cancer, perhaps an Axumin PET scan or a C11 Choline PET scan?

You still have options. Hopefully, they’re willing to work with your concerns. Good luck!